Use of Near-infrared Spectroscopy (NiRS) to Assess Regional Cerebral Perfusion in the South American Fur Seal (Arctocephalus australis) and South American Sea Lion (Otaria flavescens)
IAAAM 2017
Julie A. Balko1*+; Michael J. Adkesson1; Sathya K. Chinnadurai1
1Chicago Zoological Society, Brookfield Zoo, Brookfield, IL, USA

Abstract

High perianesthetic mortality rates have been identified in pinniped species,1 highlighting the importance of comprehensive anesthetic monitoring to ensure sufficient oxygen delivery to vital organs, including the brain. Near-infrared spectroscopy (NiRS) is an indirect monitoring tool used to assess regional cerebral perfusion (rSO2) in humans and veterinary species.2 The objective of this study was to evaluate NiRS to assess cerebral perfusion in South American fur seals (SAFS, Arctocephalus australis) and South American sea lions (SASL, Otaria flavescens). Free-ranging, adult, male SAFS and female SASL were immobilized with intramuscular butorphanol, medetomidine, and midazolam delivered via dart using previously described methods.3 Animals were intubated and manually ventilated using a bag valve mask (FiO2 21%) [SASL] or demand valve (FiO2 100%) [SAFS] to a target ETCO2 of 35–45 mm Hg. Anesthetic monitors included a capnograph, pulse oximeter, rectal temperature probe, and two cerebral NiRS probes (one on the dorsal cranium and one on the dorsal nasopharynx). Paired arterial (radial, median) and venous (jugular) blood samples were collected for blood gas analysis and calculation of arteriovenous oxygen saturation (SavO2) using a human validation algorithm.4 Concurrent NiRS values (rSO2) were recorded. rSO2 values were consistent between both probe placement sites (cranium, nasopharynx) and, compared to calculated SavO2, rSO2 consistently underestimated regional cerebral perfusion. Near-infrared spectroscopy may be used to monitor trends in rSO2 during pinniped anesthesia and is suitable for use in a field setting.

Acknowledgements

Research was approved by Peru's Ministry of the Environment under permit 019-2016-SERNANP-RNSIIPG. Access to the Punta San Juan Protected Area was authorized under permit 298-2016-SERNANP-RNSIIPG. The authors thank Susana Cárdenas-Alayza, Maria Jose Ganoza, Marco Cardeña, Paulo Colchao, Matt Allender, and Ashlee Webb for their assistance. We further thank the Chicago Board of Trade Endangered Species Fund, Paul M. Angell Family Foundation, and Grainger Foundation for their financial support of this project.

* Presenting author
+ Student presenter

Literature Cited

1.  Stringer EM, Van Bonn W, Chinnadurai SK, Gulland FMD. 2012. Risk factors associated with perianesthetic mortality of stranded free–ranging California Sea Lions (Zalophus californianus) undergoing rehabilitation. J Zoo Wildl Med. 43(2):233–239.

2.  McConnell EJ, Rioja E, Bester L, Sanz MG, Fosgate GT, Saulez MN. 2013. Use of near-infrared spectroscopy to identify trends in regional cerebral oxygen saturation in horses. Equine Vet J. 45(4):470–475.

3.  Adkesson MJ, Jankowski G, Cardenas-Alayza S. 2012. Reversible immobilization of South American fur seals (Arctocephalus australis) and South American sea lions (Otaria flavescens) using medetomidine, butorphanol, and midazolam. IAAAM 43rd Annual Conference Proceedings, Atlanta, GA; Pp. 50–51.

4.  MacLeod DB. 2009. Calibration and Validation of the Nonin Non–invasive Regional Oximeter with Cerebral Sensor. Nonin Medical, Inc.; [accessed 2017 Jan 7]. www.sensmart.com/Documents/MacLeod%20Calibration%20and%20Validation%202009.pdf

  

Speaker Information
(click the speaker's name to view other papers and abstracts submitted by this speaker)

Julie A. Balko
Brookfield Zoo/Chicago Zoological Society
Brookfield, IL, USA


MAIN : Novel Techniques : Use of NiRS to Assess Regional Cerebral Perfusion
Powered By VIN
SAID=27